Healthcare Provider Details

I. General information

NPI: 1316448111
Provider Name (Legal Business Name): CARING HEARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 WOODY LN
EASLEY SC
29640-8858
US

IV. Provider business mailing address

106 WOODY LN
EASLEY SC
29640-8858
US

V. Phone/Fax

Practice location:
  • Phone: 803-257-8131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number111266264
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RONNIE WIGFALL
Title or Position: OWNER
Credential:
Phone: 803-257-8131